| NPI | 1104290162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS WHITE Member 602-315-5125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: DC SA0090) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2015-11-13 |