NPI | 1063685824 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD G CARRIKER Medical Director 602-274-1703 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AZ MD13920) |
Enumeration Date | 2008-04-11 |
Last Update Date | 2008-04-20 |