| NPI | 1104682186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY HOCUTT Nurse Practitioner 602-684-7719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-10-30 |