| NPI | 1760129043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHRAN DARZY President 480-370-3943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2022-08-17 |