| NPI | 1629133442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT M. DRYDEN Administrator 520-722-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ OSC-0054) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2012-03-12 |