| NPI | 1649973702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER GRAHAM Owner 480-743-6933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 208D00000X General Practice | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2023-05-02 |