| NPI | 1871034637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS DAHLEN Sr. VP Finance 602-747-4000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-04-13 |