| NPI | 1871541599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ANTHONY VAN LIER RIBBINK President 480-941-0866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AZ 18860) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-08-22 |