| NPI | 1497110662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL B MUSCATO Principal/Owner 602-992-2996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AZ 4730) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2015-12-15 |