| NPI | 1932452109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA REEDY Sole Member 480-596-8525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ 3238) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |