| NPI | 1316146574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON M LEVINE Vice President 520-327-3487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AZ 0138005) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2022-11-10 |