| NPI | 1013975333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN DYLO Administrator 480-962-0071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2021-06-15 |