| NPI | 1245549617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE K HALKOWITZ Manager 520-393-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: AZ 1112980) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2010-10-01 |