| NPI | 1548389265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN LYNN NICE Practice Administrator 480-830-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 14449) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |