NPI | 1790822864 |
---|---|
Entity Type | Organization |
Authorized Contact | LYDIA LANSBERRY Practice Administrator 520-293-6740 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ z3c0001059) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2017-08-16 |