| NPI | 1366937237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUKESH N SHAH Surgical First Assistant 520-282-1210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2018-06-24 |
| Last Update Date | 2018-07-11 |