| 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 |