| NPI | 1962832717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA ANAYA Office Manager 623-846-3186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 1209) |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2013-11-14 |