| NPI | 1891981809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY J WATTS Owner 623-546-0240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: AZ 2156) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |