| NPI | 1730675547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA RAMAIAH Physician 480-600-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2018-07-04 |
| Last Update Date | 2018-07-04 |