| NPI | 1538126065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMELDA KELLY Surgical Administrator 602-955-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ OSC4190) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2007-09-14 |