| NPI | 1336322510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN HINCHMAN Owner/Manager 480-229-8276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AZ 25523) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2008-05-15 |