| NPI | 1104163088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J LABBAN Medical Director 480-497-9414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 2831) |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2013-01-11 |