| NPI | 1902570708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MARK LIEBERMAN President 602-385-0420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| 207XX0005X Orthopaedic Surgery Sports Medicine | |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2021-08-04 |