| NPI | 1427381532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA CORDEIRO Credentialing Director 602-470-5000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery |
| 207XS0106X Orthopaedic Surgery, Hand Surgery | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma | |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2014-10-01 |