NPI | 1629455985 |
---|---|
Entity Type | Organization |
Authorized Contact | LINH C NGUYEN CEO 623-374-7774 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
103T00000X Psychologist | |
1041C0700X Social Worker, Clinical | |
152W00000X Optometrist | |
213E00000X Podiatrist | |
363A00000X Physician Assistant | |
Enumeration Date | 2015-05-06 |
Last Update Date | 2015-05-06 |