| NPI | 1285472860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMAN CARRASCO CEO 480-404-7158 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| 363AM0700X Physician Assistant, Medical | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2024-07-17 |