| NPI | 1215972104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY JOE EVANS President 602-849-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2014-02-04 |