| NPI | 1861170078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN CAGAMPAN BUENAVENTURA Nurse Practitioner 480-410-9739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2023-09-10 |