| NPI | 1710789227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADMAN RAHIMINEJAD Owner 480-926-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-04-24 |