| NPI | 1306193131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN VALENTINE Sole Member 480-882-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ 4718) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2012-08-10 |