| NPI | 1225356157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUN C A ROMERO President 602-819-9608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 1647) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2020-10-09 |