NPI | 1528546421 |
---|---|
Entity Type | Organization |
Authorized Contact | JEREMY BUCKNER Owner 480-930-4018 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
Additional Taxonomies | 208600000X Surgery |
Enumeration Date | 2018-08-02 |
Last Update Date | 2018-08-02 |