| NPI | 1649939281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALEINA BULGER Manager 602-457-7300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207XS0106X Orthopaedic Surgery Hand Surgery | |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2021-12-10 |