| NPI | 1427283092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER C KWON Physician/Owner 928-854-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AZ 32875) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: AZ 32875) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2011-08-31 |