| NPI | 1730419680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANKLIN PREISER Medical Director 602-265-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: AZ 5848) |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2009-12-28 |