| NPI | 1639431653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SKINNER Managing Member 480-835-5532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: AZ OSC2478) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2022-12-20 |