NPI | 1942489042 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY M TAFFET Owner 602-956-1250 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AZ 16326) |
Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: AZ 16326) |
Enumeration Date | 2007-10-25 |
Last Update Date | 2013-12-18 |