| NPI | 1508399544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANAND CHOUDRI Credentialing 480-393-0575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ osc8032) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2021-01-05 |