| NPI | 1366621930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ALLEN Office Manager 480-478-5557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AZ 21571) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2025-08-05 |