NPI | 1558614834 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY ALEXANDER COX Physician Assistant/Member 928-890-4108 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ AZ4209) |
Enumeration Date | 2012-10-24 |
Last Update Date | 2012-10-24 |