| NPI | 1497243794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN VIGNEAU Member 480-887-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2019-06-07 |