NPI | 1174712723 |
---|---|
Entity Type | Organization |
Authorized Contact | KRAIG M BURGESS President 602-298-1188 |
Organization Subpart ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: AZ 4169) |
Enumeration Date | 2007-10-19 |
Last Update Date | 2010-06-25 |