| NPI | 1588471809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALDINE GRIFFITHS Manager 480-329-6085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2024-12-11 |