| NPI | 1609205863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC POOLE Manager/Member 480-315-8322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2014-02-11 |