| NPI | 1356597363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER R CARLSON President 480-350-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 1593) |
| Enumeration Date | 2008-08-09 |
| Last Update Date | 2008-08-09 |