| NPI | 1487799144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT G. BUSH Certified First Assistant 520-861-0481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |