NPI | 1801266333 |
---|---|
Doing Business As | MDS FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | MARC D SULLIVAN Owner 480-349-2886 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 40747) |
Enumeration Date | 2015-09-27 |
Last Update Date | 2015-09-27 |