NPI | 1316178635 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPANIE SMITH Director Of Operations 480-276-3742 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2009-08-04 |
Last Update Date | 2009-08-04 |