| NPI | 1972783785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES J. BOUZOUKIS Member/Owner 480-889-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: AZ 30243) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2008-04-20 |