| NPI | 1124148879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY JO BAIR RN Fa 480-390-2436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2795) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: AZ RN107405) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2016-03-16 |