NPI | 1033507033 |
---|---|
Former Legal Business Name | MD24 ARIZONA, INC |
Entity Type | Organization |
Authorized Contact | KEQIANG SHEN Chief Clinician Officer 602-626-4473 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2014-12-30 |
Last Update Date | 2022-04-29 |