| NPI | 1497025399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI A SAMANIEGO Generala Manager 623-939-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 1700) |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-02-21 |