| NPI | 1053055988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN PATRICK CANTWELL Partner 602-908-2025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2022-04-26 |