| NPI | 1649136912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW GIBSON C RN Fa 480-442-3462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2025-12-31 |
| Last Update Date | 2025-12-31 |