| NPI | 1164776845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD GRIFFIN CIPOLLA Owner/President 602-266-4383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 2811) |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2012-11-02 |