| NPI | 1770802191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD CAMPBELL Provider 480-705-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 1979) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2010-05-25 |