| NPI | 1831185362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BRUBAKER CEO 480-776-7155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| 261Q00000X Clinic/Center | |
| 302R00000X Health Maintenance Organization (Licence: AZ 20136) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2024-03-28 |