NPI | 1659127934 |
---|---|
Entity Type | Organization |
Authorized Contact | SETH CALEB MAXWELL CEO 602-663-3830 |
Organization Subpart ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
261QH0100X Clinic/Center, Health Services | |
261QX0100X Clinic/Center, Occupational Medicine | |
Enumeration Date | 2024-04-26 |
Last Update Date | 2024-04-26 |