| NPI | 1023474855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIO M. DEEYOR Administrator/Provider 480-570-2832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP 3563) |
| Enumeration Date | 2016-01-09 |
| Last Update Date | 2016-02-01 |