NPI | 1669007811 |
---|---|
Entity Type | Organization |
Authorized Contact | AJ DOYLE General Manager 480-626-1746 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
Enumeration Date | 2020-03-09 |
Last Update Date | 2023-12-20 |