| NPI | 1467914259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RODRIGUEZ President 623-363-5480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy |
| 231H00000X Audiologist | |
| 231HA2500X Audiologist, Assistive Technology Supplier | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |