| NPI | 1790044410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL JOSEPH MULLEN Physician / Owner 480-861-7913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: AZ 30294) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2012-09-21 |