| NPI | 1205472099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELO MATTALINO Medical Director 602-429-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2019-11-27 |