| NPI | 1174582829 |
|---|---|
| Other Name | HAVASU FOOT & ANKLE SURGICENTER |
| Entity Type | Organization |
| Authorized Contact | BARBARA NOVACK Office Manager 928-855-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2008-06-17 |