| NPI | 1053176677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BRUBAKER CEO 480-507-2199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2025-03-17 |