| NPI | 1134315757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL A MCCONKEY Office Manager 602-375-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AZ 27424) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AK 849) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2011-04-15 |