NPI | 1477689990 |
---|---|
Entity Type | Organization |
Authorized Contact | CHAD APPLEGATE Administrator 480-342-7002 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ 3737) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2008-12-08 |