| NPI | 1891963195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA MEL FONG Owner 623-544-1521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 15294) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 15294) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-29 |