| NPI | 1023014883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORA A CAMACHO Office Manager 480-820-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: AZ 18615) |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2020-08-22 |