| NPI | 1659373322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CHRISTENSON Office Manager 480-659-6964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2020-08-22 |