| NPI | 1659317717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER THOMAS MALONEY Director 520-298-2325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: AZ 30130) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2008-01-29 |