| NPI | 1952337495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBIE RONSMAN Credentialing Administrator 602-308-7815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 6473) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2012-03-06 |