| NPI | 1003830688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANTHONY SEIVERT Owner 602-265-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: AZ 2109) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |