| NPI | 1619150497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM F JOHNSON Owner 480-963-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AZ 4425) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2008-05-14 |