| NPI | 1114995271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY VALENZUELA Business Office Manager 928-773-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-04-06 |