| NPI | 1093943219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE SMITH Director Of Operations 480-276-3742 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2009-06-25 |