| NPI | 1316340953 |
|---|---|
| Doing Business As | DOC LIPAN |
| Entity Type | Organization |
| Authorized Contact | EDDIE LIPAN Owner 602-457-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: AZ 21830) |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2020-06-09 |