NPI | 1467013987 |
---|---|
Former Legal Business Name | CEDAR PARK 1, PLLC |
Entity Type | Organization |
Authorized Contact | CYNTHIA RUDD Director Of Rcm 602-540-7992 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Enumeration Date | 2019-06-25 |
Last Update Date | 2019-06-25 |