| NPI | 1639557317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MEYER Director Of Operations 480-545-2610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: AZ 14-590) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-05-13 |