| NPI | 1366626400 |
|---|---|
| Former Legal Business Name | OLIVEVIEW HOMEFRONT |
| Entity Type | Organization |
| Authorized Contact | TREVOR W WHITMORE Owner/Physician Assistant 480-988-6878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 2399) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2008-06-13 |