| NPI | 1922714385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN BOUCHARD-BUJAK Director 623-341-2825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-01-27 |
| Last Update Date | 2023-01-27 |