| NPI | 1629800107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH PEREZ Office Manager 480-707-9050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-08-14 |