NPI | 1588126791 |
---|---|
Doing Business As | WYATT SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | MICHAEL C DIESENHOUSE Manager 520-815-5050 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2019-04-05 |
Last Update Date | 2021-05-19 |