| NPI | 1497367262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN SHARIFI Administartor 480-530-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 2471C1101X Radiologic Technologist Cardiovascular-Interventional Technology |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2021-03-04 |