| NPI | 1457587545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R. SPENCER Sole Prop. 928-310-8146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2009-06-03 |