| NPI | 1326237405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT PAUL HANSEN Owner/President 602-588-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 4183) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2008-06-20 |