NPI | 1255541520 |
---|---|
Entity Type | Organization |
Authorized Contact | RYAN STRATFORD Owner Physician 480-834-5111 |
Organization Subpart ? | No |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2007-05-23 |
Last Update Date | 2020-11-11 |