| NPI | 1336667450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PABLO PRICHARD Sole Member 602-331-7811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 2085R0001X Radiology, Radiation Oncology | |
| 208600000X Surgery | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| 2086X0206X Surgery, Surgical Oncology | |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2019-12-04 |