| NPI | 1578027355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM LERNER General Counsel 480-245-6151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2019-01-26 |
| Last Update Date | 2019-01-26 |