| NPI | 1457476418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER R THOMAS Owner 602-258-7003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ OSC 0085) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |