| NPI | 1447673868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEVOY FILLERUP Cheif Medical Officer 480-366-4496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: AZ 36126) |
| Additional Taxonomies | 208D00000X General Practice (Licence: AZ P18967986) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2014-02-21 |