| NPI | 1982683892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD F PAVESE Medical Director 480-838-9313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ OSC0001) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2020-08-22 |