| NPI | 1720265333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN DIANNE BROKAW Owner 480-518-3373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 16107) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2008-01-25 |