| NPI | 1215289913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY-ANNE LORENZ Office Manager 520-881-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ 5249) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |