NPI | 1053323451 |
---|---|
Other Name | ASAP |
Entity Type | Organization |
Authorized Contact | BONNIE J VAN DE WATER Billing Admin 623-209-1212 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant Surgical |
Enumeration Date | 2006-08-13 |
Last Update Date | 2007-12-07 |