| NPI | 1003781196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY CONNORS Owner 480-784-7428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2025-10-08 |
| Last Update Date | 2025-10-08 |