| NPI | 1730424854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON ALAN OSTROWSKI Physician 520-795-8510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AZ 19380) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |