| NPI | 1619406238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELANA KIM GARDNER Family Nurse Practitioner 602-647-9085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ AP5166) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2019-01-18 |