| NPI | 1306577457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCEL MALEK Medical Director/Sole Member 480-551-2040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2022-06-20 |