| NPI | 1518137165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH GRACE Credentialing Coordinator 480-776-5489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |