| NPI | 1588867030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BOON Officer / Authorized Official 480-567-0269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 930000979) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2022-01-13 |