| NPI | 1710106745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIPIN K JADAV Administrator 480-206-9412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 12824) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |