| NPI | 1942695903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINH C. NGUYEN CEO 623-374-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 152W00000X Optometrist | |
| 213E00000X Podiatrist | |
| 364SA2200X Clinical Nurse Specialist Adult Health | |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2015-04-06 |