NPI | 1144801689 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN NEIL EVP/Cpe 480-587-5123 |
Organization Subpart ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology |
Additional Taxonomies | 208600000X Surgery |
363AS0400X Physician Assistant, Surgical | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2021-04-16 |
Last Update Date | 2021-04-16 |