| NPI | 1679230288 |
|---|---|
| Doing Business As | A MODERN MEDICINE |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS KALAYEH Owner 602-549-9537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2021-11-18 |