| NPI | 1083088173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLYSON KRISTINA MORGAN Owner 602-695-7392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 207QA0505X Family Medicine, Adult Medicine | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2016-02-10 |