| NPI | 1811039712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIEUTENANT WAYNE FINLEY Staff Physician 602-866-2843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AZ 14434) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |