NPI | 1326491408 |
---|---|
Entity Type | Organization |
Authorized Contact | QUE KARBASSY Director 480-252-0216 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 111N00000X Chiropractor |
207Q00000X Family Medicine | |
225100000X Physical Therapist | |
363AM0700X Physician Assistant, Medical | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2016-07-13 |
Last Update Date | 2016-11-02 |