NPI | 1841682309 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELO MATTALINO Owner 602-321-5896 |
Organization Subpart ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: AZ 17728) |
Enumeration Date | 2015-02-20 |
Last Update Date | 2015-02-20 |