NPI | 1801345004 |
---|---|
Entity Type | Organization |
Authorized Contact | ALLEN VAUGHAN PRETTYMAN Director Of Practice Innovations 520-621-1995 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7965) |
Enumeration Date | 2016-09-28 |
Last Update Date | 2016-09-28 |