| NPI | 1114183209 |
|---|---|
| Former Legal Business Name | DEDINSKY FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | BRIAN DAVID DEDINSKY Owner 602-256-6303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ AZ20400) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ AZ20400) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2014-06-17 |