| NPI | 1265037485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA SPRADLING Co Owner 623-208-0589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2020-12-03 |