| NPI | 1538178256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BOON Officer/AO 480-567-0269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: CA 930000999) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2024-10-11 |