| NPI | 1750832283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER STAMNAS Dir Med Staff Affairs & Payer Cred 520-243-5958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2025-07-30 |