| NPI | 1821457532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA DIANNE MIHORA Owner 480-788-1134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: AZ 44635) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2022-08-24 |