| NPI | 1427213404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON EDWARD CARRASCO Adnistrator 480-206-3602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: AZ 24255) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2008-07-18 |