| NPI | 1588806756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN W GAWLEY Manger/Owner 480-860-2173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ 1040930) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2023-03-27 |