NPI | 1801780341 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHNSON KORIE CEO 602-849-4377 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2025-06-09 |
Last Update Date | 2025-06-09 |