| NPI | 1942446414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES LAURENT LEVESQUE President 480-299-4603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ 1621) |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2019-06-27 |