| NPI | 1720467236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES R STEVENS Owner / President 520-886-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ 41804) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |