| NPI | 1871619189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MAIRA Business Office Manager 480-949-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 30246) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-11-01 |