| NPI | 1477095735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES B EVANS Medical Director 602-791-9112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 37616) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2022-08-30 |