| NPI | 1972134054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRESCHTA MIRZAKHEL Practice Adminisitrator 480-258-8264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2023-05-08 |