| NPI | 1558923656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA CATHERINE ZOLDAN Administrator 480-307-8258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2022-09-15 |