| NPI | 1720107659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE PADILLA Physician Assistant 602-257-9229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 2674) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2008-06-18 |