| NPI | 1710788294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN JOWETT Director 480-520-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery | |
| Enumeration Date | 2025-03-21 |
| Last Update Date | 2025-03-21 |