| NPI | 1417003336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN ELIZABETH WATT Practice Owner 480-368-9608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: AZ 22016) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: AZ 22016) |
| 208600000X Surgery (Licence: AZ 22016) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2018-05-07 |