| NPI | 1104045830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGNACIO CABEZUDO Doctor 480-557-5710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: AZ 29743) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2010-06-02 |