| NPI | 1174605059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE ANN LEVINS Practice Administrator 480-663-9632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2019-10-04 |