| NPI | 1043790801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELICA ZEPEDA Administrative Assistant 480-749-0282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-20 |