| NPI | 1164762316 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SHARLEE LEBLEU Vice President 480-321-7026 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology | 
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology | 
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2013-02-26 | 
| Last Update Date | 2025-01-27 |