| NPI | 1437615929 |
|---|---|
| Doing Business As | BANNER TEMPE SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | HOMAN MOSTAFAVI Manager Member 248-229-6188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2020-02-11 |