| NPI | 1720458334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINOO RAHIMINEJAD Manager 480-926-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ AP4826) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2015-09-25 |