| NPI | 1447652029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE BARRERA Manager 480-773-4925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ AP5522) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-29 |