| NPI | 1689648925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MANSUETO Member Manager 480-360-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2023-09-18 |