| NPI | 1174701643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT C. WALDRIP Physician 623-584-5626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2012-03-15 |