| NPI | 1861735490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI R ROLSTON Practice Administrator 928-778-9250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 45914) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2013-04-02 |