| NPI | 1508023813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A HERRERA President 480-457-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: AZ 4489) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |