| NPI | 1184076028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE DEALVA GARCIA President 480-370-1076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: AZ 41599) |
| Enumeration Date | 2016-07-04 |
| Last Update Date | 2016-07-04 |