| NPI | 1699399709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS LARAWAY CFO 602-747-4000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207XX0005X Orthopaedic Surgery Sports Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2022-01-13 |