| NPI | 1053287839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON SUMMERS Administrator 602-568-8313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2025-10-16 |