NPI | 1568008167 |
---|---|
Doing Business As | IDEAL SURGICAL CENTER, LLC |
Entity Type | Organization |
Authorized Contact | BRANDIE HERNANDEZ Director Of Operations 480-634-4606 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2019-11-19 |
Last Update Date | 2019-11-19 |