NPI | 1780881375 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRY ESPIRITU Member 623-434-0336 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 31859AZ) |
Enumeration Date | 2007-06-28 |
Last Update Date | 2008-09-30 |