| NPI | 1144176678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADEL PATIENT PENDELELO Authorized Official 480-234-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2026-03-06 |
| Last Update Date | 2026-03-06 |