| NPI | 1396358818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HIBNER CEO 480-599-9631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2022-06-07 |