| NPI | 1093978207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON JACOB WRIGHT Owner 623-444-7972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: AZ 4166) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: AZ 4166) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |