| NPI | 1376713784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD F JOGANIC Physician/Surgeon 602-266-9066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AZ 18778) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2017-09-25 |