| NPI | 1508555111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY GRIFFIN Owner 480-720-6347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |