| NPI | 1215988209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EROL J LEBLANC President 480-924-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2007-10-10 |