| NPI | 1346526233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID D SMITH Member 602-889-7835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AZ D7760) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2011-10-24 |