| NPI | 1497170104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HERZOG Owner 480-706-9430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ 37975) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-03-04 |