| NPI | 1356428726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTABELLE N WONG Physician Assistant 480-634-5521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ 2725) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-12-13 |