NPI | 1194973453 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN STEVEN CHAROCHAK Medical Director 602-375-3333 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: AZ 2333) |
Enumeration Date | 2008-08-28 |
Last Update Date | 2008-08-28 |