| NPI | 1346417466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DAVID MACIAS President 602-257-4228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: AZ 22346) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: AZ 22346) |
| 207Y00000X Otolaryngology (Licence: AZ 22346) | |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2021-01-08 |