| NPI | 1720226889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUJATHA GUNNALA Medical Director 602-956-7481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0006X Clinic/Center, Ambulatory Fertility Facility (Licence: AZ 11933) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2009-01-28 |