| NPI | 1346383387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAITHAM HANNA Physician Assistant 602-616-9982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: AZ 1922) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |