| NPI | 1669708442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN GREGORY CIO 602-778-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2023-10-02 |