| NPI | 1740478890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG MATHEW PHELPS Owner/Presidient 602-588-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 2158) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2007-11-09 |