| NPI | 1598075202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY MCMEEKIN Administrator 602-234-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 4711) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2010-10-15 |