| NPI | 1730547282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH MARIA LARSON President 623-693-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: AZ AP4007) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-01-29 |