| NPI | 1427319995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA A ENGLERT Credentialing Authority 602-385-2115 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2018-02-14 |