NPI | 1174857791 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL KNIGHT President 602-667-4636 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2115) |
Additional Taxonomies | 208D00000X General Practice (Licence: AZ 3175) |
Enumeration Date | 2009-09-29 |
Last Update Date | 2010-11-04 |