| NPI | 1114180320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN A LILIEN Owner 480-633-9977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: AZ D3985) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |