| NPI | 1043461171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRAVIOLA R. BROOKS-MARTINEZ Owner/Physician 602-973-9234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 28558) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2013-08-01 |