| NPI | 1649643255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BARRON Administrator 480-332-7336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |