| NPI | 1356723837 |
|---|---|
| Other Name | DESERT BLOOM FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MARTHA ANN CONRADSON Administrator 623-385-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7820) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-06-22 |