| NPI | 1285278077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIVA BIRDI CEO 480-256-3336 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2024-09-13 |