| NPI | 1053594960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT RICHARD MAXWELL Officer 602-252-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 7468) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2011-03-22 |