| NPI | 1346956034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAQUEL MARTINEZ Credentialing 480-236-8840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-02-20 |