NPI | 1598305757 |
---|---|
Entity Type | Organization |
Authorized Contact | BYRAN DAVID RUBIO Business Manager 602-699-5983 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2020-01-15 |
Last Update Date | 2020-01-15 |