| NPI | 1114968989 |
|---|---|
| Doing Business As | SAN TAN GENERAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | TRAVIS LEROY HOWARD Owner 480-353-9438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2016-11-23 |