| NPI | 1508011495 |
|---|---|
| Former Legal Business Name | DAWN L. PHATUROS, L.L.C. |
| Entity Type | Organization |
| Authorized Contact | DAWN LYNNETTE CHAMBERS Owner 480-390-5779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AZ 6099) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2009-10-25 |