| NPI | 1851531248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER THOMAS Medical Director 602-258-7003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: AZ OSC4560) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2014-07-02 |