| NPI | 1720607294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN LECOMPTE General Partner 480-213-8488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |