| NPI | 1700555414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN PATRICK FLYNN Certified Surgical First Assistant 520-991-4071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2021-09-07 |