| NPI | 1649668781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT COFIELD Chief Operating Officer 928-773-2010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2025-04-14 |