| NPI | 1013298868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D. MARSHALL Single Member / Owner 602-443-1085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 10961) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2019-06-13 |