| NPI | 1629254735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH MARIE HAYNES Administrative Assistant 602-266-9066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AZ MD21129) |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2024-07-03 |