| NPI | 1699942268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY A BODE Medical Dircector 602-298-2653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 3615) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |