| NPI | 1750312435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE BORROR Administrator 480-751-3002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ OSC 4093) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2025-11-04 |