| NPI | 1790966026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA RAZO Director Of Contracts 602-258-6797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AZ OTC6320) |
| Additional Taxonomies | 251S00000X (Licence: AZ OTC-6320) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2024-06-07 |