| NPI | 1508306739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRIQUE M CIFUENTES Medical Director 480-245-6677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: AZ 42048) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-10-30 |