| NPI | 1568685477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD K FARNWORTH President 480-759-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AZ 17174) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2009-03-05 |