| NPI | 1124033717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANOOP KUMAR Administrator Owner 602-923-5975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 26554) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |