| NPI | 1912140005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ALEXANDER LEVISON Medical Director 480-844-9188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: AZ TBD) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |