| NPI | 1417117631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMIAN JEREMY BASS Owner 623-414-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 25092) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2022-07-21 |