| NPI | 1003923541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBI J ROBERTSON Administrator 602-548-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: AZ 2830) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 2830) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2008-10-01 |