| NPI | 1255361606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEVIS T. PARKER Owner Physician 480-924-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 34880) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2009-04-01 |