| NPI | 1255196747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOMAN MOSTAFAVI Member Manager 480-214-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2024-02-14 |