| 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 |