| NPI | 1255870267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY PRINCE Physicians Onboarding Manager 602-651-1945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-02-23 |