| NPI | 1952369324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT M BOLHACK CEO 520-615-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ pending) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-08-22 |