| NPI | 1508373358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD TRAUM President 480-456-3703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-01-02 |