| NPI | 1477823219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DUGAN PEARSON Owner/President 480-966-0522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: AZ 1026) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |