| NPI | 1225660822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN RODRIGUEZ Office Manager 520-795-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |