| NPI | 1093050601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD ANDREW RUSSELL Chief Executive Officer 480-399-3880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: AZ 40444) |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2013-01-18 |