| NPI | 1144748906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SORINA KING Billing Manager 480-545-2610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA0763) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-09-18 |