NPI | 1013491166 |
---|---|
Doing Business As | GRAYHAWK FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | ARNETTA BLACKWELL CEO 480-473-7003 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2018-09-24 |
Last Update Date | 2023-05-22 |