| NPI | 1033423793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARI LYNN GIBSON CEO, Director, Officer, Physician 480-656-7654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 17146) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2011-09-12 |