| NPI | 1821444894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC LEIB CEO 602-708-8455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2022-07-18 |