| NPI | 1184870560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK VON HAAG President 520-222-8065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AZ 32835) |
| Enumeration Date | 2008-08-17 |
| Last Update Date | 2019-04-17 |