| NPI | 1750178588 |
|---|---|
| Other Name | ITS THUNDERBIRD CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANGELA MICHELLE SIMMONS Controller/Hr 602-721-9683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2025-04-24 |
| Last Update Date | 2025-09-18 |