NPI | 1922034495 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA JENNINGS Owner 602-395-0718 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ rn031133) |
Enumeration Date | 2006-06-24 |
Last Update Date | 2010-08-17 |