NPI | 1205200565 |
---|---|
Entity Type | Organization |
Authorized Contact | KRYSTAL POWELL Revenue Cycle Director 623-583-3001 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
208000000X Pediatrics | |
Enumeration Date | 2015-11-23 |
Last Update Date | 2023-04-28 |