| NPI | 1801891668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BOON Offiicer/Authorized Official 480-567-0269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OR 071546) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2024-09-18 |