| NPI | 1346691136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI L HARRISON Owner 480-418-3678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 174H00000X Health Educator |
| 207L00000X Anesthesiology | |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |