| NPI | 1548462716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHUREE KRISTINE OLDEHOEFT Physician Assistant 480-766-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: AZ 3164) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-08-22 |