| 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 |