NPI | 1710213244 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT ROGERS Physician Assistant 602-232-2737 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 4498) |
Enumeration Date | 2009-10-17 |
Last Update Date | 2013-07-30 |