| NPI | 1619971470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL ZONERAICH Manager/Medical Director 480-874-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ 33844) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2015-04-10 |