| NPI | 1508309626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARIK M SHIRIF CEO, President 480-246-3593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2020-09-14 |