| NPI | 1013666064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI C ENGLE Director Of Staffing & Credentialin 928-247-6516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2023-07-31 |