NPI | 1386951374 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL DOUGLAS STANIEC President 602-548-1600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 10600) |
Enumeration Date | 2010-09-12 |
Last Update Date | 2010-09-12 |