| NPI | 1992470652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE M RIVERA Revenue Cycle Manager 520-382-1291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2021-08-13 |