| 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 |