NPI | 1366955122 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAUN LEE HAMPTON CEO 480-986-7246 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ AP8927) |
Enumeration Date | 2017-11-14 |
Last Update Date | 2018-02-08 |