| NPI | 1346301835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIA ANN DAVIS Adm President 623-875-1328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 1916) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AZ MT02472P) |
| 225700000X Massage Therapist (Licence: AZ MT05297P) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |