| NPI | 1760440515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BOON Officer/Authorized Official 480-567-0269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 230000350) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2025-01-11 |