NPI | 1003489964 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARLEE LEBLEU Vice President 480-321-7026 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2021-07-20 |
Last Update Date | 2024-07-10 |