NPI | 1699307603 |
---|---|
Entity Type | Organization |
Authorized Contact | NICK CRIST Sole Member 480-930-4018 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Additional Taxonomies | 208600000X Surgery |
Enumeration Date | 2020-02-07 |
Last Update Date | 2020-07-15 |