| NPI | 1740400183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH A INGALLS Medical Doctor /Owner 480-488-0575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ AZ23364) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2022-01-14 |