| NPI | 1598363228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN ROBB MCWHORTER Owner 480-526-2688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-12-28 |