| NPI | 1174573489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY MANNINO President CEO 480-598-1357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-10-10 |