| NPI | 1407992381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH R SMITH President 623-931-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: AZ 1718) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |