| NPI | 1356724249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS S CANNON Sole Owner 480-507-2961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 377750-1205) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |