| NPI | 1487049904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE A BEAM Physician Assistant 623-229-2116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA05450) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2015-04-01 |