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 |