| NPI | 1033642780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W MCGETTIGAN Member/Manager 520-495-5169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: AZ 12606) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |