| NPI | 1659995249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS L LARAWAY CFO 602-747-4000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 207X00000X Orthopaedic Surgery | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| Enumeration Date | 2020-05-30 |
| Last Update Date | 2021-12-27 |