| NPI | 1447909171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNDI TEETER Practice Manager 602-978-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2022-04-22 |