| NPI | 1487238176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY NAMANNY CEO 520-777-4090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 208600000X Surgery |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2021-05-08 |
| Last Update Date | 2023-02-07 |