| NPI | 1336706837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BENJAMIN HACKETT Nurse Practitioner 520-505-1350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |