NPI | 1548813959 |
---|---|
Entity Type | Organization |
Authorized Contact | LEAH C BROWN Owner 480-530-7575 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | |
363A00000X Physician Assistant | |
Enumeration Date | 2019-07-24 |
Last Update Date | 2022-09-10 |