| NPI | 1700073426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL W HUEY Billing Manager 602-504-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 7101) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 5050) |
| 111N00000X Chiropractor (Licence: AZ 7022) | |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2012-06-28 |