| NPI | 1487136412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BOON Authorized Official / Officer 480-567-0259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2024-10-07 |