| NPI | 1013241165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW KHUMALO President/Owner 480-398-3638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2013-02-04 |