| NPI | 1093033110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE ANN DENOS Front Office 480-857-6316 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3529) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2010-05-13 |