| NPI | 1265600027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON GWOZDEK Managing Member 480-634-2985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AZ RN139630) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 261Q00000X Clinic/Center | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2019-12-05 |