| NPI | 1386049419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA L AUSTIN Physician 602-254-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: AZ 21319) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2014-10-31 |