| NPI | 1376075077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY PRINCE Physicians Onboarding Manager 602-651-1945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |