| NPI | 1518295013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JAY FAUER President 602-923-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ AZ14204) |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2009-11-23 |