| NPI | 1871812131 |
|---|---|
| Doing Business As | LAVEEN MEDICAL PAVILION |
| Entity Type | Organization |
| Authorized Contact | ANN GLOVER CEO 602-252-1775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2010-08-11 |