| NPI | 1457776981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN MICHAEL HERINGER Managing Member 480-949-5990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AZ 36057) |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2014-02-20 |