| NPI | 1790950194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MAUREEN DRISCOLL-LOWE VP 9289-468-0210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 29310) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |