NPI | 1912479411 |
---|---|
Entity Type | Organization |
Authorized Contact | DESERIE TSOSIE Credentialing Specialist 602-935-6389 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
Enumeration Date | 2018-12-20 |
Last Update Date | 2018-12-20 |