| NPI | 1235338054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROBERT NICHOLS President 480-759-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 29489) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-07-12 |