| NPI | 1548643836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ALAN GREEN CEO 480-275-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN078764) |
| Enumeration Date | 2015-07-04 |
| Last Update Date | 2022-02-08 |