| NPI | 1841202678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE PHILLIP FIRESTONE CEO 480-237-5723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2008-01-30 |