| NPI | 1902204191 |
|---|---|
| Doing Business As | TRIDENT HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | ARVIND MAHADEVAN Medical Director 480-241-2034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 40752) |
| Enumeration Date | 2014-12-20 |
| Last Update Date | 2016-10-27 |