| NPI | 1699765834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABEDON ABE SAIZ Md/Owner 928-453-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AZ 24387) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: AZ 24387) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2017-04-13 |