| NPI | 1932800927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MANCUSO Owner 602-317-7744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 104100000X Social Worker |
| 133V00000X Dietitian, Registered | |
| 163W00000X Registered Nurse | |
| 164W00000X Licensed Practical Nurse | |
| 164X00000X Licensed Vocational Nurse | |
| 183500000X Pharmacist | |
| 207R00000X Internal Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 213E00000X Podiatrist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2023-03-15 |