NPI | 1548506983 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN A GARAND Owner/Physician 480-947-3533 |
Organization Subpart ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: AZ 005056) |
Enumeration Date | 2012-12-12 |
Last Update Date | 2012-12-12 |