| NPI | 1013465863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JOSEPH GESHEL Physician / President 602-595-3341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: AZ 4517) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-12-06 |