NPI | 1801983556 |
---|---|
Former Legal Business Name | TRESANTI MEDICAL CORPORATION |
Entity Type | Organization |
Authorized Contact | ERIC BOON Authorized Official 480-567-0269 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 140000665) |
Enumeration Date | 2006-10-06 |
Last Update Date | 2024-09-13 |