| NPI | 1871875047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER A TUMLINSON Administrator 480-789-1189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AZ 32889) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |