NPI | 1306229067 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL PATRICK DUNN Medical Director 480-448-2411 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 207Q00000X Family Medicine |
261QR0206X Clinic/Center, Radiology, Mammography | |
335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
Enumeration Date | 2015-06-30 |
Last Update Date | 2020-03-05 |