| NPI | 1891523338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIVA BIRDI CEO Bmg 602-747-4000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-07-25 |