| NPI | 1932644606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDI J LUNDQUIST Physicain/Owner 623-535-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2023-06-12 |