| NPI | 1558618645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA S HENDERSON Owner/President 480-596-6886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: AZ 22689) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2023-10-10 |