| NPI | 1447575287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY D MCCLURE Member/Owner 602-944-2271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2010-04-05 |