| NPI | 1700067014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN TSUJIMURA Owner 480-353-2956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AZ 23177) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-27 |