| NPI | 1396572848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORALE SCHULTZ Surgical Assistant/Owner 480-370-0939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-09-18 |