| NPI | 1033960448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN NEIL Cmo 480-587-5123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-04-01 |