| NPI | 1376722538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA S STANDAGE Office Manager 480-834-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AZ 9421) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-24 |