| NPI | 1104008705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE WILKINSON Office Manager 480-585-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: AZ 13237) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2014-05-13 |