| NPI | 1154856474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI L CASADY Member 480-462-2950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2018-06-05 |