| 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 |