NPI | 1114702370 |
---|---|
Other Name | PROSANO HEALTH - PEORIA |
Entity Type | Organization |
Authorized Contact | SAKINA PASHA Director Of Population Health 480-271-2248 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
208000000X Pediatrics | |
3336C0002X Pharmacy, Clinic Pharmacy | |
Enumeration Date | 2023-08-28 |
Last Update Date | 2024-05-23 |