| NPI | 1811228083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE WILKES BELK-ARENAS Administrator 520-722-0744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ OSC4905) |
| Additional Taxonomies | 261QE0800X Clinic/Center, Endoscopy |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2011-06-21 |