| NPI | 1942478136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL J PETERS President 480-759-0195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2892) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-11 |