| 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 |