| NPI | 1225275829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK C DELALAMA Office Facilitator 602-442-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 33819) |
| Enumeration Date | 2009-01-19 |
| Last Update Date | 2009-01-19 |