| NPI | 1083271746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINAMRA JAIN Medical Director 480-553-6168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2025-09-30 |