NPI | 1710291794 |
---|---|
Entity Type | Organization |
Authorized Contact | MEGAN L SPEARS Owner 480-695-0387 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ RN117579) |
Enumeration Date | 2010-08-02 |
Last Update Date | 2018-09-24 |