| NPI | 1124541594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA HAMELIN Credentialing Manager 602-308-7817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 30278) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2022-07-21 |