| NPI | 1295278315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SAYEGH Owner 602-741-4816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: AZ 09001737) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |