| NPI | 1104192715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK P SIEGEL Owner 480-292-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 2479) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: AZ 03720) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |