NPI | 1679832729 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRIC SCHINE Medical Director 602-840-3584 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1483) |
Enumeration Date | 2012-05-10 |
Last Update Date | 2014-07-10 |