| NPI | 1043563190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CORCORAN Managing Partner 602-956-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207L00000X Anesthesiology | |
| 207N00000X Dermatology | |
| 207R00000X Internal Medicine | |
| 207X00000X Orthopaedic Surgery | |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
| 208600000X Surgery | |
| 208VP0000X | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |