| NPI | 1902958226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L HODGES Vice President 520-326-4321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: AZ OSC-3432) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2008-10-10 |