| NPI | 1487120325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMOND LOWE BAKER President 480-280-7588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2018-10-18 |