| NPI | 1003232364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIREK RASTOGI Manager 480-269-3620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |