| NPI | 1811215072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE STECYK Medical Director 480-991-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 11407) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-05-12 |