| NPI | 1538207956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLANCA G GARCIA Office Manager 928-341-1981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AZ 17167) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AZ 34827) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |