| NPI | 1225402001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN DEPAOLO Member 602-395-0718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA0791) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2015-11-17 |