| NPI | 1437398047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX J SMITH Member 480-706-3060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AZ 1570) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-05-27 |