| NPI | 1699000802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PATRICK GALLOWAY Resident 602-535-4919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AZ R71581) |
| Additional Taxonomies | 282NC2000X General Acute Care Hospital, Children (Licence: AZ R71581) |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2009-10-05 |