| NPI | 1508166620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI MARQUART President 480-766-8485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: AZ 110530) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2013-05-15 |