NPI | 1306267166 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT LLOYD GAUNT Owner 480-398-7795 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4759) |
Enumeration Date | 2013-12-21 |
Last Update Date | 2013-12-21 |