| NPI | 1215199674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ISAAC GLASSMAN Medical Director 602-747-7026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AZ 3988) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2013-07-11 |