| NPI | 1093262628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF LEHRICH Executive Director 480-235-7788 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: SC 20381) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |