| NPI | 1720284110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON A ROBLES President 602-547-2774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ 24120) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2020-08-22 |