| NPI | 1770324642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUILLERMO HIGA Owner 520-461-8262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-10-11 |