NPI | 1154774305 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT TAYLOR CEO 480-907-1322 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ AP4338) |
Enumeration Date | 2016-07-22 |
Last Update Date | 2016-09-30 |