| NPI | 1740905207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MENDIAS Executive Director 602-606-8949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2022-10-07 |