| NPI | 1295495422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLENE THWEATT Primary Care Nurse Practitioner 480-490-1230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2022-02-27 |