| NPI | 1447790985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OWEN OWENS Practice Administrator 602-845-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: AZ 006329) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2020-06-08 |