| NPI | 1003910688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARLEE LEBLEU Vice President 480-321-7026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LF0000X Nurse Practitioner Family | |
| 2085B0100X Radiology Body Imaging | |
| 2085D0003X Radiology Diagnostic Neuroimaging | |
| 261QR0200X Clinic/Center Radiology | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2024-07-12 |