| NPI | 1336159185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE J VAN DE WATER Office Manager 623-875-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-12-06 |