| NPI | 1710026125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW T. RANSON Owner 480-924-7091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2019-10-23 |