| NPI | 1184912164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M CREECH President 480-899-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |