| 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 |