| NPI | 1700850492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM KENT BRUBAKER Doctor 602-589-0370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AZ 14717) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2007-09-05 |