| NPI | 1376154625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN DEAN CFO 480-339-4573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-09-22 |