| NPI | 1508300013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUZ A LOPEZ Doctor 602-254-0390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 33381) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 27821) |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2016-12-19 |