| NPI | 1760817746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MARS Manager 520-722-6277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ OSC5398) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2013-09-09 |