| NPI | 1831199637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREY PARSONS Director 602-604-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ OSC3450) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2020-08-22 |