| NPI | 1659041580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZIZ MALLIK Managing Partner 623-328-7087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2021-12-22 |