| NPI | 1619403995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL KULLUKIAN Manager 602-295-8370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-05-05 |