| NPI | 1831895861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEEANN JENNINGS Clinic Owner 480-231-9569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-05-24 |