| NPI | 1568955995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY M COZATT Chief Operating Officer 480-395-8211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 2083X0100X Preventive Medicine, Occupational Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2023-10-19 |