| NPI | 1861899619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAITON RUTKOWSKI CEO Managing Partner 480-982-3691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 5940) |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |