| NPI | 1962447185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS DAHLEN System Manager 602-747-4577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ OSC 3777) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-08-22 |