| NPI | 1144729351 |
|---|---|
| Other Name | KEITH SMIGIEL |
| Entity Type | Organization |
| Authorized Contact | KEITH SMIGIEL Owner 602-485-9390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AZ AP10952) |
| Enumeration Date | 2018-02-03 |
| Last Update Date | 2018-02-03 |