| NPI | 1942979422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE BENTZ Owner & Chief Medical Officer 480-347-3413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2021-09-08 |