| NPI | 1629321302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN PACE Physician 480-456-6561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: AZ 22677) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-18 |