| NPI | 1023332152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDELGABAR MOHAMED MOHAMDIAN Owner 623-217-1559 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AZ 476336) |
| Additional Taxonomies | 3416L0300X Ambulance Land Transport (Licence: AZ 476336) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-18 |