| NPI | 1740596733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINH LUONG Physician, Co Owner 480-854-9004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 41809) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2017-10-12 |