| NPI | 1124201777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAED TARAZI Owner/President 480-240-7391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: AZ 34222) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2010-12-28 |