| NPI | 1477091262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE PARKS Owner 520-703-2534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7921) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |