| NPI | 1720062367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE R LEBEAU Member Physician 480-632-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 2822) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 1862) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2020-08-22 |