| NPI | 1548994072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN EUGENE HOOPPAW CEO 480-206-5619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2023-05-01 |