| NPI | 1336577188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH STEWART Owner 480-694-9442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ 3304) |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2023-08-17 |