| NPI | 1871596114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA BRANDON Administrative Assistant 928-214-2156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ OSC-0083) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2010-09-24 |