| NPI | 1245476092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJIV KWATRA Owner 602-230-6744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: AZ 25383) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2018-11-21 |