NPI | 1760064885 |
---|---|
Doing Business As | PHASE SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | JERRY VAN HORN Center Director 602-806-0357 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease |
207RC0001X Internal Medicine Clinical Cardiac Electrophysiology | |
207RI0011X Internal Medicine Interventional Cardiology | |
Enumeration Date | 2021-04-27 |
Last Update Date | 2023-02-06 |