| NPI | 1619086576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNEY LYNN FERGUSON Owner/President 928-537-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 28951) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2009-10-29 |