| NPI | 1124735063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT FRIEDMAN Executive Vice President Of Sales 480-716-2399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2023-06-05 |