| NPI | 1841570512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT R KORN Medical Director 480-354-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: AZ 109213) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |