| NPI | 1427198449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY L WILSON Practice Admin. 480-963-9334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 13278) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-05-27 |