| NPI | 1073806337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JAGODA President 480-237-9377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 25979) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2011-05-19 |