| NPI | 1639435886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BAKER Office Administrator 602-513-8133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-09-14 |