| NPI | 1639605629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA HAMELIN Credentialing Coordinator 602-308-7817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 32470) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |