| NPI | 1417205584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT RUHT Owner 480-451-4117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AZ 11342) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-08-21 |