363LP0808X
Tempe, AZ
Specialty
363LP0808X
NPI
1467035550
610 E. Baseline Rd., Tempe, AZ 85283
(480) 969-0405Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 363lp0808x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 363LP0808X