| NPI | 1275311870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA SHIRAH Managing Member 480-531-1681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2023-09-26 |