| NPI | 1477908085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO E LOPEZ Medical Director 602-283-5732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2022-07-21 |