| NPI | 1003373507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL S SELLERS Physician 480-426-2667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-07-01 |