| NPI | 1750604989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIOACCHINO VINCENZO FRANCO Medical Director 480-659-9155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AZ 04-839) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2010-03-02 |