| NPI | 1245118538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THUY LINH NGUYEN Director 623-693-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 2086S0129X |
| 208VP0000X | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2025-10-08 |