| NPI | 1215285010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOT BLAU President 480-947-7609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AZ 846) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2012-08-27 |