NPI | 1174856280 |
---|---|
Entity Type | Organization |
Authorized Contact | TERESA CORDEIRO Credentialing Director 602-470-5000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
124Q00000X Dental Hygienist | |
207L00000X Anesthesiology | |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
207RI0200X Internal Medicine, Infectious Disease | |
207V00000X Obstetrics & Gynecology | |
207X00000X Orthopaedic Surgery | |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
208000000X Pediatrics | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
2085R0202X Radiology, Diagnostic Radiology | |
Enumeration Date | 2009-09-09 |
Last Update Date | 2017-06-22 |