| NPI | 1215394176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA CURTIS Billing 480-208-6539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 5633279) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: UT 5633279) |
| Enumeration Date | 2016-01-24 |
| Last Update Date | 2016-03-17 |