| NPI | 1174809982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD JOHN SIMON President 602-809-6623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2014-10-14 |