| NPI | 1104004183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD K LE President 480-726-6632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2015-04-08 |