| NPI | 1255585097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE L ROBLEDO Member 480-598-9733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AZ 13386) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 27967) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2010-08-12 |