| NPI | 1912187121 |
|---|---|
| Doing Business As | ARIZONA STATE UNIVERSITY HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | ALLAN MARKUS Physician/Director 480-965-1145 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2014-11-03 |