| NPI | 1710130117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH GRACE Business Office Administrator 480-776-5489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 1977) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2008-10-29 |