NPI | 1871723866 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINA LYNN SPICER Owner 480-510-2818 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ 3580) |
Enumeration Date | 2009-07-23 |
Last Update Date | 2009-09-28 |