| NPI | 1922204155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY JO ANN GARCIA Office Manager 623-536-6788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 23025) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2011-02-10 |