| NPI | 1881987881 |
|---|---|
| Doing Business As | GREENWAY HEALTHCENTER |
| Entity Type | Organization |
| Authorized Contact | STEVE WICKLUND Manager 602-889-5833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2014-01-23 |