| NPI | 1093066193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCY WILKINSON Practice Manager 602-667-6640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: AZ 21440) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2012-09-28 |