| NPI | 1881678662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BOON Officer/Authorized Official 480-567-0269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: TX 006838) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2024-09-13 |