| NPI | 1538113238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIANOUSH KIAN Administrator 480-632-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ OSC3540) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2013-05-08 |