| NPI | 1871957217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACEY DINH Revenue Cycle Manager Of Abs 520-258-0326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |