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 | 2024-07-12 |