| NPI | 1609314673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANISHA BHATNAGAR GEIGER Owner 602-559-5491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AZ 969) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |