| NPI | 1851572069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL J PERRY Owner 480-419-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AZ AZ3545) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2013-05-15 |