| NPI | 1093984171 |
|---|---|
| Doing Business As | FIVE STAR MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARIA MANUELA GONZALEZ-LANDESTOY Owner/Physician 480-275-4415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AZ 29719) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2020-02-19 |