| NPI | 1033145495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH SHUMWAY Executive Director 602-530-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: AZ 22105) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2019-04-30 |