| NPI | 1467633784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA B KOSS Owner/Physician 602-815-8887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AZ 29375) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-15 |