| NPI | 1588068266 |
|---|---|
| Doing Business As | SECOND STREET PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | NATHAN ANSPACH Senior Vice President 623-434-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-12-03 |