| NPI | 1992238661 |
|---|---|
| Former Legal Business Name | NASCENT PARADISE VALLEY SURGICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | GRANT COOK Owner/Manager 602-313-8110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2017-04-09 |
| Last Update Date | 2020-04-23 |