| NPI | 1831713148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS PETRA Md 623-433-6452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-06-02 |