| NPI | 1134465057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVA A. SMOLENS President 480-782-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ 4994) |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2012-12-20 |