| NPI | 1770740243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND R VALDIVIA President 623-936-7960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 22654) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2013-06-19 |