| NPI | 1033269626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS EUGENE LEELAND Owner 480-222-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 17424) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2007-09-26 |