NPI | 1366218414 |
---|---|
Doing Business As | SCOTTSDALE PREMIER CARE |
Entity Type | Organization |
Authorized Contact | PRIYANKA COSTA HENNIS Medical Director 312-625-0574 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2023-11-29 |
Last Update Date | 2023-12-14 |