| NPI | 1063546588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL F HAMANT Owner President 520-298-2313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AZ 14809) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |