| NPI | 1861701625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHAEDRA ANTIOCO Owner 520-401-1081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine (Licence: AZ 2668) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |