| NPI | 1528826187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA WILKINSON Business Operations Director 602-796-2559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2025-03-25 |