| NPI | 1669720397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY LYMAN CEO 480-203-0425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: ID W-113717) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2020-10-06 |