| NPI | 1932110137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA S BALDERRAMA Owner 928-453-9487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-11-08 |