| NPI | 1609518976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORA MCCLARY Owner 480-707-9504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2025-01-05 |