| NPI | 1821594235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN MATANKY Provider/Owner 520-426-1000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 22110) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-04-04 |