| NPI | 1538692645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER C CANNON Owner/Member Manager 480-544-2599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 7114) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |