| NPI | 1316486996 |
|---|---|
| Doing Business As | RIDGELINE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | NATHAN PAYNE Co Owner 480-444-8043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-04-14 |