NPI | 1588720650 |
---|---|
Entity Type | Organization |
Authorized Contact | FRED MASON HILL Director Of Business Operations 480-804-0326 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: AZ OTC-8164) |
Enumeration Date | 2006-12-30 |
Last Update Date | 2017-05-01 |