| NPI | 1841453362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE W. JOHNSON President/Sole Owner 480-507-2961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 6919190-1204/8904) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2023-03-07 |