| NPI | 1811292923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA SUSAN DABROWSKA MILLER Ambulatory Care Nurse Practitioner 602-277-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center, VA |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2011-01-20 |