| NPI | 1124765540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKAH SUAZO Medical Billing Supervisor 480-646-9099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2022-05-17 |