| NPI | 1730675547 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ANITA RAMAIAH Physician 480-600-0600 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty | 
| Additional Taxonomies | 2086S0129X | 
| Enumeration Date | 2018-07-04 | 
| Last Update Date | 2025-07-11 |