| NPI | 1417019787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN J BIZON Physicians Assistant 480-860-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: AZ 35591) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2009-12-04 |