| 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 |