| NPI | 1770009441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA ANN HAYKO Medical Director/Fnp C 480-656-1519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2017-08-15 |