| NPI | 1255869921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY CONNORS Office Manager 480-772-2453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2024-07-30 |