| NPI | 1154037778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT WILLERT COO 602-751-6179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2023-01-26 |