| NPI | 1508096975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES H. BURRELL Chief Medical Officer 602-271-5426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AZ OTC4709) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2012-01-09 |