NPI | 1255662250 |
---|---|
Doing Business As | DESERT PALM FAMILY HEALTH |
Entity Type | Organization |
Authorized Contact | MATTHEW KHUMALO CEO/Medical Director 480-857-0109 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 37296) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 37296) |
Enumeration Date | 2010-01-15 |
Last Update Date | 2014-10-01 |