| NPI | 1740370501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS L POTTS CEO 928-774-7757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ OSC0056) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2012-04-03 |