| NPI | 1669855193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SPEER Physician Assistant 623-810-7539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ 3332) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |