| NPI | 1255749982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE W EISENHART CEO 480-718-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 152W00000X Optometrist |
| 213E00000X Podiatrist | |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2018-01-25 |