| NPI | 1801069158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A CAMPENNI Co.Owner/President 928-649-7970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: AZ 4639) |
| Additional Taxonomies | 208800000X Urology (Licence: AZ 36999) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2012-11-15 |