| NPI | 1356614176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY S ALLEN President 480-699-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 36540) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: AZ 44915) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 44915) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ F07141310) | |
| 363AM0700X Physician Assistant, Medical (Licence: AZ 5521) | |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2015-02-11 |