| NPI | 1215012646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILO A ROGERS Owner 480-705-0480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2011-11-30 |