| NPI | 1255734919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM HOLLIDAY Administrator 480-330-3851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: AZ 005722) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-15 |