| NPI | 1215940614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY LYNN GRAUL Director 480-963-3608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AZ AP1086) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP1086) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |