| NPI | 1053080614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS L LARAWAY Chief Financial Officer 602-747-4000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2021-09-08 |