| NPI | 1639670235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA HAMELIN Credentialing Manager 602-308-7817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 28896) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |