| NPI | 1295044964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CREDENTIALING MANAGER Manager 602-385-2115 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2025-02-24 |