| NPI | 1073767240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN ROBERT UPDEGRAFF President 623-933-3107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AZ 10896) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2024-01-15 |