NPI | 1477859460 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY JOYCE (NONE) GRUBB Medical Director 480-984-1542 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3828) |
Enumeration Date | 2011-02-08 |
Last Update Date | 2015-02-27 |