| NPI | 1861257420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BRUBAKER CEO 480-776-7155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-02-13 |