| NPI | 1144762139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY GRACE LEACH CEO 602-368-8203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ AP0638) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2018-08-24 |