NPI | 1134433097 |
---|---|
Entity Type | Organization |
Authorized Contact | WENDI S ANDRUS Office Administrator 602-867-1302 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 2115) |
Enumeration Date | 2010-08-03 |
Last Update Date | 2010-08-03 |