| NPI | 1881810844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JOSEPH PETERS Medical Director 928-634-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: AZ 09582) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |