NPI | 1336933704 |
---|---|
Entity Type | Organization |
Authorized Contact | CALVIN RICHARDS Medical Director 480-382-5669 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 175F00000X Naturopath |
363AM0700X Physician Assistant, Medical | |
Enumeration Date | 2025-04-08 |
Last Update Date | 2025-07-13 |