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 |