| NPI | 1962938498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA FILATOVA Od/Owner 480-985-0086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: AZ 1936) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-07-07 |