| NPI | 1871762625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOELDRIDGE MCCLAIN Sole Member 623-974-9571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 30909) |
| Additional Taxonomies | 208VP0000X |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2022-07-21 |