| NPI | 1205152022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY NICOLE MITCHELL Naturopathic Medical Doctor/Medical 480-298-4759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: AZ 081064) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 15815) |
| 207Q00000X Family Medicine (Licence: AZ 15343) | |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |