| NPI | 1770720740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN BOWLEY President 602-956-6559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 9462) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-19 |