| NPI | 1962720268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET ELAINE OROZCO Manager 602-380-2636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ 3462) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-05-12 |