| NPI | 1669358552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN NEIL Cmo 480-587-5123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology |
| Enumeration Date | 2025-08-14 |
| Last Update Date | 2025-10-10 |