| NPI | 1962841742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY TSAO Provider 623-583-2073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-06-17 |