| NPI | 1164058954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LELAND HARDING WEBB Owner 602-266-9066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2023-09-06 |