| NPI | 1760074744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDIE HERNANDEZ Director Of Operations 480-204-4593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2021-02-10 |