| NPI | 1245553502 |
|---|---|
| Doing Business As | VISTA MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SHANNON GRAY Administrator/Owner 480-983-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AZ 36286) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2010-03-01 |