NPI | 1588290944 |
---|---|
Doing Business As | PRESTIGE MEDICAL CARE |
Entity Type | Organization |
Authorized Contact | DEVIN BLAND Owner 602-477-9422 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2020-03-18 |
Last Update Date | 2022-11-29 |