| NPI | 1285412320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORA J FOX-MCCLARY Partner 602-421-1299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086X0206X Surgery Surgical Oncology |
| 208C00000X Colon & Rectal Surgery | |
| 213E00000X Podiatrist | |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QP1100X Clinic/Center Podiatric | |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2024-01-16 |