| NPI | 1164918124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANCEY SCOTT GAITHER Managing Partner 480-712-8319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2022-10-31 |