| NPI | 1124394556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY P ROCKOW CEO 928-779-7014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AZ 25161) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2013-08-09 |