| NPI | 1649719071 |
|---|---|
| Doing Business As | GADSTAR FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | SOUSOU GAD AWAD Member/Managing Employee 480-389-7019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |