| NPI | 1477590297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH KILPATRICK Office Manager 480-720-6706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: AZ 25606) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2017-02-01 |