| NPI | 1427175777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT JOSEPH ELLIS Business Owner 480-503-3055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: AZ 27064) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2024-09-24 |