| NPI | 1770640930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JAMES KETTERER President 480-833-8620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AZ MD18540) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |