| NPI | 1053338962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY ROBERT WARDA Neonatology Medical Director,Swan 928-336-7665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: AZ 27466) |
| Additional Taxonomies | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: CA C50724) |
| 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: CO 33879) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2008-05-20 |