| NPI | 1548380603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY WASLEWSKI Owner President 480-558-3744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: AZ 27254) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2008-12-12 |