| NPI | 1841643632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN WILLIAMS Office Manager 602-279-7767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ AP8802) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |