| NPI | 1801220983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN VANDERHOOF Owner/ Authorized Official 480-800-8642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2025-04-15 |