| NPI | 1457792962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE J KELLY Physician 623-583-2073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: AZ 35083) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-07-12 |