NPI | 1922774520 |
---|---|
Entity Type | Organization |
Authorized Contact | GREG VOGEL CEO 480-497-4506 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 111N00000X Chiropractor |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
208100000X Physical Medicine & Rehabilitation | |
225100000X Physical Therapist | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2021-08-23 |
Last Update Date | 2021-08-23 |