| NPI | 1235391657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS BARRY MILLER Statutory Agent 480-512-3970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 21508) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2008-06-26 |