| NPI | 1114393626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE SKINNER Office Manager 520-327-6267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AZ 5462) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |