| NPI | 1578113809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILLIE BEHERA Medical Director 480-434-6565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-11-27 |