| NPI | 1114912698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LLOYD FORTUNE Managing Employee 480-991-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: AZ 13540) |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2020-08-22 |