| NPI | 1760892483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY T EVANGELISTA Physician Owner 480-254-8482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma | |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2019-09-02 |