| NPI | 1093043531 |
|---|---|
| Doing Business As | VISTA MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SHANNON GRAY Owner/Administrator 480-983-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AZ 29241) |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2009-11-23 |