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 |