| NPI | 1518396845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROMY SJOLSETH Director Of Operations 480-818-3079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 261QU0200X Clinic/Center Urgent Care | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-19 |