NPI | 1811186802 |
---|---|
Doing Business As | NALLY FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | ADAM SHANE NALLY President/Physician 623-584-7805 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 3587) |
Enumeration Date | 2007-10-16 |
Last Update Date | 2020-08-14 |