| NPI | 1821601147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN ASHBY Administrator 602-953-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |