NPI | 1912637786 |
---|---|
Entity Type | Organization |
Authorized Contact | VANESSA KOZIOL Credentialing 602-395-0718 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery |
Enumeration Date | 2022-06-14 |
Last Update Date | 2022-06-14 |