| NPI | 1508180043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLANCA MARQUEZ Manager 602-254-7077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AZ AP3603) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2010-03-25 |