| NPI | 1073850582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY ROBERT NICOL Owner 928-226-7667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AZ 30127) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2023-06-28 |