| NPI | 1851663900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBIE RONSMAN Credentialing Adminstrator 602-308-7815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 27544) |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2012-02-06 |