| NPI | 1700214970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH KRONLAGE Owner 520-822-8442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: AZ 5064) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2014-06-26 |