| NPI | 1871915827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA RATTO Director Of Quality & Credentialing 602-230-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: AZ OTC5758) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2026-06-26 |