| NPI | 1245834779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCKY K ROBINSON CEO 480-203-1843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2021-01-29 |