| NPI | 1801036538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL DORIAN BENJAMIN President 480-661-1880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 13742) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-07-06 |