| NPI | 1154791960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENKATA EVANI CEO 602-747-4000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2024-09-13 |