| NPI | 1013441542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARETTE ZECHARIA President 480-874-5806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AZ 3554) |
| 207Q00000X Family Medicine | |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
| 251S00000X | |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2019-01-18 |