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 |