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 |