| NPI | 1558413781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT D BINGHAM Medical Director 602-228-6242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 2919AZ) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |