| NPI | 1952509267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE DIGGES Director 602-308-7822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: AZ 133) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 4257) |
| Enumeration Date | 2007-07-07 |
| Last Update Date | 2007-08-07 |