| NPI | 1932454881 |
|---|---|
| Other Name | ARIZONA CRANIOFACIAL & PEDIATRIC PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | ELEAZAR LEY TAI Owner/Manager 801-651-8782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AZ 36876) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |