| NPI | 1467497933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM D. BATES Physician 928-704-7166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2008-01-29 |