| NPI | 1659010833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN MICHAEL OSTLER Nurse Practitioner/ Owner 480-818-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2022-06-03 |