NPI | 1609622406 |
---|---|
Entity Type | Organization |
Authorized Contact | RAJESH PILLAI President 480-588-5464 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2024-04-24 |
Last Update Date | 2024-05-18 |