| NPI | 1619849882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN ELLENBURG Chief Provider Group Operations 480-421-8745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2025-09-18 |
| Last Update Date | 2025-09-18 |