| NPI | 1851742241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC J CHURCH Medical Director 480-440-1985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ MED6561) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |