| NPI | 1922762699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD MCGEE CFO 602-843-2991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363AM0700X Physician Assistant Medical | |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2021-10-28 |