| NPI | 1720305535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAITHAM M HANNA CEO 602-568-7294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: AZ 1013800) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2023-03-07 |