| NPI | 1659696904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JEROME CORLEY President 520-940-1712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A104108) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-08-16 |