| NPI | 1487193371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAHUL D MEHAN Manager/Member 480-409-5080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AZ 45544) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2021-05-27 |