| NPI | 1073761169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN D BASTIAN Owner 602-258-4788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: AZ 40464) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |