| NPI | 1316723620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMAL DABBAH Clinic Co Owner 480-597-4321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208VP0000X | |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2024-07-15 |