| NPI | 1588330849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMON DOWNING Managing Partner 480-606-8370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207Q00000X Family Medicine | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-10-04 |