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 |