| NPI | 1841446085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE PIMENTEL Doctor 480-505-3295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 22505) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 22574) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-12-29 |