| NPI | 1245272426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE M SILANO Owner 480-833-4515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 5633) |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant Medical | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2021-05-21 |