| NPI | 1790172922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY S CURRY Medical Director 928-783-4640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ 32246) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-27 |