| NPI | 1942481379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL LEROY CLOUSE President/CEO 480-834-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AZ 4560) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-11-14 |