| NPI | 1720237431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY ALLEN DEMASTERS Manager 480-285-4890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ 3777) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2008-09-17 |