| NPI | 1417433236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANN FRANKS-MITCHELL JAUREGUI Practice Administrator 480-930-4353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AZ 24745) |
| Enumeration Date | 2018-07-15 |
| Last Update Date | 2019-01-11 |