| NPI | 1083581805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE MOTLEY Secretary 623-777-9808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery |
| Additional Taxonomies | 2082S0105X Plastic Surgery Surgery of the Hand |
| Enumeration Date | 2025-10-17 |
| Last Update Date | 2025-10-17 |