| NPI | 1841374535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSIELYNDA R HULTBERG Office Manager 480-222-0810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 32745) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |