| NPI | 1679605604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONDA MCCLURE Vice President 480-990-1877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |