| NPI | 1225462468 |
|---|---|
| Doing Business As | MERCY GRACE PRIVATE PRACTICE |
| Entity Type | Organization |
| Authorized Contact | OLANREWAJU IJAOLA Physician/Director 480-862-9136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 40145) |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2013-12-05 |