| NPI | 1154194827 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CHRISTOPHER BERO Owner 480-216-1616 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical | 
| Additional Taxonomies | 208600000X Surgery | 
| 225100000X Physical Therapist | |
| 2251X0800X Physical Therapist, Orthopedic | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2023-11-03 | 
| Last Update Date | 2025-08-13 |