| NPI | 1841505302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN F HERMENAU President 928-247-9714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2014-11-05 |