| NPI | 1780689802 |
|---|---|
| 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 030000705) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2022-12-29 |