| NPI | 1588986301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CREDENTIALING MANAGER Credentialing Supervisor 602-385-2115 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery |
| 208100000X Physical Medicine & Rehabilitation | |
| 261QM1200X Clinic/Center Magnetic Resonance Imaging (MRI) | |
| Enumeration Date | 2010-02-20 |
| Last Update Date | 2025-02-24 |