| NPI | 1598916264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA PATRICIA SICAIROS Human Resource 602-265-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 3858) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-11-20 |