| NPI | 1467691147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW L TREMAYNE Owner 480-596-8525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ 2505) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-19 |