| NPI | 1265622609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWIGHT CARL LUNDELL General Partner 602-288-8699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AZ 6960) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |