| NPI | 1144364795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL DAVID MCREYNOLDS Physician Assistant 480-860-1045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ 1480) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2016-03-28 |