| NPI | 1083221634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE G JOHNSTON Medical Director 623-334-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |