NPI | 1902150949 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRI L. REBLIN Office/Billing Manager 602-751-4092 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4600) |
Enumeration Date | 2012-10-30 |
Last Update Date | 2012-12-08 |