| NPI | 1942429477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH C WESTFIELD President 928-753-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ 3C0001082) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |