| NPI | 1235769613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY COZATT Project/Relations Officer 602-899-4404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2023-03-15 |