| NPI | 1548376304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL VAUGHN Owner 480-491-4101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471V0106X Radiologic Technologist Vascular-Interventional Technology (Licence: AZ 24144) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2007-12-20 |