| NPI | 1235008137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUMBERTO ROBERT INZUNZA Pa C 602-637-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 174H00000X Health Educator | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2025-10-30 |
| Last Update Date | 2025-10-30 |