| NPI | 1942607296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD QUIGLEY Provider/Owner 480-347-6474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ AP4985) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4985) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2015-04-05 |