| NPI | 1366462764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AFEWORKI OCBAGHIORGIS KIDANE President 480-653-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: AZ 4458) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101012760) |
| 261Q00000X Clinic/Center (Licence: AZ 4458) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2018-05-08 |