| NPI | 1689153769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA RATTO Director Quality & Credentialing 602-230-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: AZ OTC9070) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2026-06-26 |