NPI | 1639786585 |
---|---|
Doing Business As | @ TEMPE |
Doing Business As | CROSSOVER @ TEMPE |
Entity Type | Organization |
Authorized Contact | ANGIE SAKIOKA Operations 949-891-0228 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2020-09-24 |
Last Update Date | 2020-09-24 |