| NPI | 1013205863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY D. HENDERSON Director 928-726-2990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 44983) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2015-05-19 |