| NPI | 1629652920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN NEIL EVP/Cpe 480-587-5123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology |
| Additional Taxonomies | 208600000X Surgery |
| 363AS0400X Physician Assistant, Surgical | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2021-05-12 |