| NPI | 1578842209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK EUGENE POWERS Owner 520-234-6176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ TAP 4146) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |