| NPI | 1902022080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTICE D TRAN President 928-348-8208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: AZ 33525) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |