NPI | 1215460175 |
---|---|
Entity Type | Organization |
Authorized Contact | MEGAN SPEARS Owner/Provider 480-299-0372 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP2819) |
Enumeration Date | 2017-04-07 |
Last Update Date | 2017-04-07 |