| NPI | 1821433541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERLITA MAY PARKER-LEACH Surgical First Assistant 520-241-9755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: CO 138939) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-08 |