| NPI | 1144748468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY KAMMRATH Office Manager 602-377-2616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2022-07-21 |