NPI | 1548856164 |
---|---|
Entity Type | Organization |
Authorized Contact | JOEL R. RAINWATER CEO, Cmo 480-374-7354 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
213E00000X Podiatrist | |
Enumeration Date | 2020-12-17 |
Last Update Date | 2020-12-17 |