| NPI | 1003946302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN PAUL TRIPP President 480-830-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 4321) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |