| NPI | 1760649115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA HAARMANN Director 623-521-2056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ 2941) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |