| NPI | 1619200722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA CORDEIRO Credentialing Director 602-470-5000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care |
| 2086S0105X Surgery Surgery of the Hand | |
| 2086S0120X Surgery Pediatric Surgery | |
| 2086S0122X Surgery Plastic and Reconstructive Surgery | |
| 2086S0127X Surgery Trauma Surgery | |
| 2086X0206X Surgery Surgical Oncology | |
| 208800000X Urology | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2014-10-01 |