| NPI | 1952623100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHON J WIGGENHORN President 623-535-8770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery |
| Enumeration Date | 2010-02-15 |
| Last Update Date | 2013-10-18 |