NPI | 1679312086 |
---|---|
Doing Business As | PROSANO HEALTH |
Entity Type | Organization |
Authorized Contact | AARON BOWEN Chief Operating Officer 480-493-7249 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
208000000X Pediatrics | |
3336C0002X Pharmacy, Clinic Pharmacy | |
Enumeration Date | 2024-05-23 |
Last Update Date | 2024-11-15 |